OCCUPATIONAL HEALTH NURSE - 0720 Salary
$46,987.20 - $70,491.20 Annually
EMPLOYEE HEALTH CENTER
8/7/2020 11:59 PM Eastern
- Job Description
Brief Description of the Job
Serves as a team member of the City of Greenville Employee Health Center. Works collaboratively with Occupational Health Clinic staff to provide comprehensive health and wellness services to approximately 925 City employees. Provides direct nursing care and health coaching to employees. Coordinates and completes pre-placement, annual safety sensitive, and DOT physicals. Utilizes nursing skills to evaluate patient care needs, prioritize treatment, and maintain patient flow. Evaluates and provides initial first aid/triage for work-related injuries and illnesses. Completes First Report of Injuries (FROI) and provides data to Workers Compensation TPA. Monitors workers compensation case management. Assists in drug and alcohol testing. Coordinates annual Fire stress testing, labs, and test results. Facilitates, coordinates, designs, delivers, and evaluates health and wellness initiatives through health education/promotion for the Citys onsite wellness program in collaboration with the Health Clinic Administrator. Promotes positive health behaviors through planning, education and training. Ensures compliance of OSHA, DOT, FTA, Workers Compensation, Nurse Practice Act, EEOC, FMLA, ADA, GINA, NFPA, and FMCSA. Provides for HIPAA compliance with all medical records. Conducts training and provides consultation to managers and employees regarding health policies and regulations to ensure compliance. Maintains required recordkeeping for medical data, office visits, drug testing, physicals, blood work, encounter notes, etc. in compliance with City policy and regulatory requirements. Serves as the interim Health Clinic Administrator in their absence. Provides treatment within scope of practice as defined by state law. Performs other duties as assigned.
- Job Duties
Provide Direct Patient Care (50%): Conduct Pre-Placement and Annual Employee Safety Sensitive Physicals. Prepare charts and forms in advance of physicals. If needed, send notification to departments in advance for physicals. Conduct pre-placement and annual safety sensitive physicals (medical history, vital signs, weight, height, BMI, dipstick urinalysis, electrocardiogram (ACC/AHA ASCVD % and HgbA1c > 8), vision, hearing screening, and spirometry as required by OSHA. Review immunization status and provide vaccines, as needed. Coordinate, prepare, and review fasting lab work. Utilize appropriate forms for the specific physical requirements. Discuss assessment findings with employee/applicant and provide results. Use health coaching skills to make suggestions for follow-up/referrals as necessary. Coordinate scheduling for psychological exams and stress testing for Fire and Police job candidates. Review completed SC Criminal Justice Academy (SCCJA) Medical Form and Fire Brigade Clearance form. Schedule Physical stress test and Physical Part 2 with City Physician. Coordinate Annual Fire stress testing. Coordinate annual stress testing, cardiology referrals, lab work for all Fire Fighters with outside provider and Fire Department. Verify Fire Brigade Clearance status. Review and analyze results. Notify Fire Administration and Health Clinic Administrator of any restrictions. Ensure make up appointments are scheduled and attended by employees. Support and Conduct Drug and Alcohol Testing. Cross train with other staff on all health clinic functions . Provide secondary assistance for monthly drug testing. Enter DOT drug test orders and obtain DOT drug test results through MyeScreen. Obtain drug test results daily for processing and data entry. Maintain all DOT drug testing results and recordkeeping for the City of Greenville and Greenlink separately. Coordinate with Medical Review Officer (MRO) for review of any positive NON-DOT drug test. Ensure any positive DOT screen has been verified by an MRO. Scheduling Medical Review Officer (MRO) appointments for NON-DOT positive drug tests and obtaining MRO results. Provide Direct Care and Health Coaching Employee Services. Provide service for daily walk-ins and dispense OTC medications. Provide nursing assessment and care for non-occupational and occupational illnesses/injuries following the Standing Orders of the Medical Director. Provide direct patient care through first aid, physician referral, and follow up care to all injured and ill employees. Document accurately all elements of nursing assessment, treatments, medications administered, discharge instructions, and follow-up care arranged. Maintain all medical records in using Electronic Medical Records (EMR). Identify emergency situations and provide care within legal scope of practice. Provide TB skin testing and TB skin test reads. Provide services such as blood pressure and blood glucose checks, requests for medical information. Offer vaccinations for tetanus, and influenza vaccines. Provide Hepatitis B vaccines and titers to employee with exposure to bloodborne pathogens per OSHA. Document vaccine data into SCIAPPS (SC DHEC) and EMR. Must follow infection control procedures and precautions.
Evaluate and Provide First Aid/Triage Care for Occupational Injuries & Illnesses (20%): Support the provision of first aid to all work related injured and ill employees, complying with all government guidelines. Obtain necessary information for completion and submission of First Report of Injury (FROI) to the Workers Compensation TPA and Risk Manager. Ensure appropriate signatures are received for required HIPAA signed releases and consents. Maintain communication (written and oral) between employee, physician, supervisor and Workers Compensation (W/C) TPA. Make initial physician referral for work related injuries requiring more than first aid. Enter workers compensation data into OHM or applicable software to support maintenance of the OSHA log. Maintain the OSHA 300 and produce the 300-A report for signature and posting annually. Responsible for OSHA electronic recordkeeping. Support the implementation of Return to Work for employees returning to work with work restrictions (e.g. Transitional Work Agreements/Extensions, Return to Work Authorizations, etc.). Obtain medical statements for clearance related to return to work status. Maintain the Workers Compensation program with communication between employee, W/C TPA, Health Clinic Administrator and Risk Manager. Notify Risk Manager of any potential claim problems. Monitor work related bloodborne pathogen exposures to completion.
Develop and Implement Wellness Programs (20%): Address the health promotion and health needs of employees through health coaching, training and instruction. Provide educational materials to employees. Make referrals to physicians for abnormal findings. Work as a team member in the implementation of the Citys wellness programs, lunch and learns, etc. Stay abreast of wellness best practices, using this information to improve current wellness programming. Encourage and promote wellness. Administer wellness programs within the approved budget. Monitor the effectiveness of wellness programs and recommend changes. Collaborate with Health Clinic Administrator and other designated personnel to provide leadership in program strategy, design, evaluation, data collection and analysis of health and wellness outcomes. Provide flu vaccines and TB skin tests at offsite locations. Develop wellness communication strategy and supports the development of a health and wellness communications, including city-wide wellness program announcements and health information. Conduct health and wellness presentations. Serve as the liaison with wellness vendors/presenters. Attend webinars and review professional journals on worksite wellness trends.
Ensure Compliance and Perform Administrative Tasks (10%): Ensure compliance of OSHA, DOT, FTA, Workers Compensation, Nurse Practice Act, EEOC FMLA, ADA, GINA, NFPA, and FMCSA. Provide for HIPAA compliance with all medical records. Conduct training and provide consultation to managers and employees regarding health policies and regulations to ensure compliance. Refer potential FMLA and ADA cases to Health Clinic Administrator. Communicate return to work status to supervisors through completion of Return to Work Slips. Obtain medical statements or records for clearance and return to work status. Document accurately all elements of nursing assessment, treatments, medications administered, and follow-up care arranged. Perform daily data entry into EMR for encounters. Evaluate medical/office supplies and place supply orders. Cross train with Occupational Health and Wellness Coordinator on all non-medical administrative tasks. Keep an updated clinic procedures notebook to aid in cross training. Pull medical charts and file, as needed. Copy medical files related to subpoenas as needed. Attend departmental and City meetings and trainings as required. Participate in the presentations of New Employee Orientation (NEO), as needed.
Perform other duties as assigned.
Formal Education: Registered Nurse (RN) is required. Bachelors in Nursing preferred.
Experience: Over 4 years of clinical nursing experience with direct patient care required. Experience in Occupational Health, Urgent Care, Ambulatory Care or Emergency Room setting preferred.
Drivers License Required: South Carolina Class D Drivers License.
Certifications and Other Requirements: Current RN with active unrestricted state license in SC). Certified in Basic Life Support (Adult)/AED CPR. CAOHC (Certification in Occupational Hearing Conservation) and NIOSH certificate in Spirometry preferred or obtained within 12 months. Certification in hair drug test collection within 30 days.
Knowledge, Skills, and Abilities
- Professional nursing practice principles.
- Applicable DOT, FTA, OSHA, CDC, SC DHEC regulations pertinent to the provision of occupational health services.
- Health and safety best practices.
- Employee wellness strategies.
- Research, understand and apply pertinent regulatory requirements and City policies and procedures.
- Relate effectively with a wide range of personnel.
- Exercise independent judgment and decision-making in the perofrmance of job resposnibilities.
- Apply nursing and technical skills effectively.
- Perform biometric visits including testing, documentation and patient education of at-risk biometrics.
- Provide direct patient care and health coaching.
- Screen and accurately perform detailed clinical intake of patients and update medical records.
- Oversee and coordinate the daily patient care flow.
- Document patient encounters in Electronic Medical Record (EMR).
- Complete occupational health testing including such services as physicals, hair drug testing, and first aid.
- Complete workers compensation initial first aid, patient referral, First Report of Injury and follow-up care as needed.
- Clean and disinfect exam rooms and sterilize equipment.
- Maintain clinic supplies and dispose of expired supplies.
- Assist with medical examinations.
- Coordinate and communicate with departments about applicant hiring status.
- Provide required employee vaccinations.
- Access DOT, FTA, OSHA, CDC, SC DHEC websites etc. for current regulations and guidelines.
- Focus on attention to detail.
Creativity and Complex Reasoning: Work is difficult and diversified with limited precedent and requires the frequent application of a high degree of independent, logical, evaluative, and/or professional thinking to originate and develop procedures, techniques or ideas within the parameters of a broad conceptual outline. Work requires advanced skills and knowledge in approaches and systems. Independent judgment and decision-making abilities are necessary to apply technical skills effectively. Work product affects multiple projects
- Read charts, medication labels, SDS, policies, federal, state and local laws, rules and regulations, letters, invoices, insurance records, schedules, OSHA log, blood work results and drug test results.
- Deal with a system of real numbers; practical application of fractions, percentages, ratios/proportions and measurement.
- Prepare employee charts, newsletter articles, monthly schedules, reports, communication with all departments, invoices, letters, response to e-mails and work on policies.
Machines, Tools, Equipment, and Work Aids: Equipment utilized includes: AED, Ambu bags, automatic and manual sphygmomanometers, audiometer and electro acoustic ear (OSCAR), body fat analyzer, CLINITEK Status + Analyzer, calculator, copier, telephone, diagnostic testing supplies, digital and manual scales, digital thermometers, DVD player, electrocardiogram, fax, glucometer, hemostats, keyboards, needles, OPTEC vision screener, otoscope, personal automobile, personal cell phone, pulse oximeter, scanner, scissors, staple and suture removal devices, stethoscope, syringes, tweezers, and various bandages. Computer and smart tablet. Software: Must be proficient in Microsoft Office Suite, Adobe, OHM (Occupational Health Manager) or other EMR, timekeeping system, purchasing system, applicant tracking system, LabCorp Beacon, FMCSA Registry, MyeScreen, SC DHEC SCIAPPS, and Topaz.
Primary Work Location: Office environment and health clinic.
Environmental/Health and Safety Factors: Occasional exposure to unpleasant environmental conditions and/or hazards. Occasional outside work. Seasonal exposure to respiratory hazards. Constant exposure to chemical hazards and communicable diseases.
Protective Equipment Required: Gloves, CPR facemask, safety glasses, syringes and needles with safety guards, sharps containers, and face protection.
Continuously requires using vision and hearing. Frequently requires fine dexterity, walking, sitting, standing, handling, twisting, and talking. Occasionally requires bending, lifting, carrying, reaching, and pushing/pulling. Must be able to perform CPR and provide first aid while kneeling on the floor. Medium strength demands include exerting 20-50 pounds occasionally, 10-25 pounds frequently, or up to 10 pounds constantly.
Frequently requires time pressures, frequent change of task, performing multiple tasks simultaneously, working closely with others as part of a team, tedious or exacting work, and noisy/distracting environment. Occasionally requires irregular schedule/overtime. Regular, predictable, full time work is an essential job function.
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The City of Greenville will provide reasonable accommodations for otherwise qualified individuals. The City of Greenville does not discriminate on the basis of race, color, national origin, sex, religion, disability status or age in employment or provision of services.